Organization Active NPI

Ak Avc 'U' Dental Care PC

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1881670008
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
047740 Issued in NY
Legal business name
AK AVC 'U' DENTAL CARE PC
Practice address
428 Avenue U
Brooklyn, NY 11223-4049
Phone
(718) 627-3682
Fax
(718) 627-3683
NPI assigned
Dec 20, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Albert Ezra Kadaa, DDS
Title
President Owner
Phone
(718) 627-3682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 047740 NY Primary

Addresses

Primary practice location

428 Avenue U
Brooklyn, NY 11223-4049

Mailing address

428 Avenue U
Brooklyn, NY 11223-4049
Phone (718) 627-3682

Other identifiers 1

IdentifierTypeStateIssuer
01877747MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881670008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234049",
            "telephone_number": "718-627-3682",
            "fax_number": "718-627-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234049",
            "telephone_number": "718-627-3682",
            "fax_number": "718-627-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AK AVC 'U' DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KADAA",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "EZRA",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "718-627-3682",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "047740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01877747",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.